Application to start a new chapter

You will first need to fill out this form and schedule a meeting with a Roosevelt field coordinator.

Email: *

First Name: *

Last Name: *

College or University: *

You must be a current student or alumnus to start a Roosevelt student or alumni chapter.

Class Year: *

Phone number: *

Please provide a phone number where you can be reached.

Schedule a meeting

A Roosevelt field coordinator will contact you to discuss your interest in starting up a chapter. Please provide us with at least two days and time periods during which we can easily reach you via phone.

Meeting date (1):

Meeting time (1):

Meeting date (2):

Meeting time (2):

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Application to start a new chapter